EL-16-1130 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-259399 Permit Number: EL-4-16-1130
Scheduled Inspection Date: May 23,2016 Permit Type: Electrical- Residential
Inspector: Devaney,Michael
Inspection Type: Final
Owner: ATASH, KARIM&METIS CORINA Work Classification: Alteration
Job Address:1195 NE 100 Street
Miami Shores, FL
Phone Number (305)780-5551
Parcel Number 1132050190360
Project <NONE>
Contractor. HOME OWNER
Building Department Comments
LOW VOLTAGE LANDSCAPE LIGHTING IM`ractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comm
Passed
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
May 20,2016 For Inspections please call: (305)762-4949 Page 33 of 36
s
Miami Shores Village an
10050 N.E.2nd Avenue NE
Miami Shores,FL 33138-0000 h 4
Phone: (305)795-2204 r�� �':,. r �� � •. i.� ; _ .;.a, ,i i.;,
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Expiration: 10/26/2016
Project Address Parcel Number Applicant
1195 NE 100 Street 1132050190360 KARIM 8 METIS CORINA ATASI-
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
KARIM&METIS CORINA ATASH FL (305)790-5551
1195 NE 100 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 2,800.00
HOMEOWNER
Total Sq Feet: 0
Type of Work:LOW VOLTAGE LANDSCAPE LIGHTING Available Inspections:
Additional Info: Inspection Type:
Classification:Residential
Review Electrical
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.80 Invoice# EL-416.59554
DBPR Fee $2.25 04/27/2016 Credit Card $50.00 $123.30
DCA Fee $2.25
Education Surcharge $0.60 04/29/2016 Credit Card $123.30 $0.00
Notary F"i $5.00
Permit F8e'-Additions/Alterations $150.00
Scannini iee $9.00
Technoldd Fee $2.40
Total: $173.30
a,
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In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict co rmity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting drls permit I assum sponsibility for all wor don y either myself, my agent, servants, or employes. I understand that separate permits are
required for_tLECTRICAL,P MBING,MECHANICA IN WS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS,'4.kFFID VIT: ✓ rtify that all the for 'i i rmation is accurate and that all work will be done in compliance with all applicable laws regulating
construction onin Futhermore,I autho e t ve-named contractor to do the work stated.
April 29,2016
Auth nature: licant / Contractor / Agent Date
Builc(I"g Department opy
April 29,2016 1
Miami Shores Village
Building Department =7APR210050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 It*LA
BUILDING Master Permit No. — --
PERMIT APPLICATION Sub Permit No. 0—1(.0 — ( (�3 C---)
❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION F-1 RENEWAL
PLUMBING ❑MECHANICAL PUBLIC WORKS [] CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: I I N� S T-Rrze-r
City: Miami Shores County: Miami Dade Zip: 33 13 ,9
Folio/Parcel#: I(-u—o SD f g 0 36® Is the Building Historically Designated:Yes NO _
Occupancy Type: Load: Construction Type: Flood Zone: BFE: NFFEErr:
OWNER:Name(Fee Simple Title-holder): ka V -DM a! � Phone#: -5-f5l
Address: I i C75 &e 10 d STI?e-E-r-
3TenaCity: 57 A 0 �S BState: Zip:733132—
Tenant/Lessee
nt/Lessee Name: Phone#:
Email: Aa -P.1,'" f�/
C>dc- AS plrzi� Mid -t>ev A rq ey
CONTRACTOR:Company Name: Phone#:
Address:
City: State Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: qq City: State: Zip:
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: ❑ Addition/ ❑ Alteration -T-9vew ❑ Repair/Replace ❑ Demolition
Description of Work. L o w L®.0/f fs 4 40 A 9 C e- Z_.1. 6 tf 1.l ey 6
Specify color o color thru tile:
Submittal Fee$ �' Permit Fee$ IT'& 0 CCF$ I CO/CC$
Scanning Fee$ Radon Fee$ `Z `' D�B/P�R$ a ' Notary$ -®0
Technology Fee$ V Training/Education Fee$ �"l�J Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ 12-3 30
(Revised02/24/2014)
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500,the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose-property-issu*,ct-ta attachment.-Alw,-acertified copy of the recardertnotice-of commencerrrent inust biepateduth-ejab3im
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature 7d4 Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
a1 day of 20 �O .by day of 20 by
-
: *W tn A A.'5rJ.who is personally known to ,who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
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APPROVED BY�S/��� /fii Plans Examiner Zoning
� ,yr
Structural Review
Clerk
(Revised02/24/2014)
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APPROVED BY DATE .. '
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ZONING DEPT �6 N.E. 100th STREET
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